Special Check Request Form

Submit a Special Check Request only for employees who missed a payment for circumstances beyond the employee's control, such as a late EPAF submission by their department. For circumstances that fall within an employee's control, such as not completing a timesheet by the deadline, please use the Retroactive Pay Request.

Please note that while special checks can and will be issued in exceptional circumstances, if a department requests special checks routinely they may not be honored.

Requirements:

1. If the employee regularly fills out a timesheet, a timesheet MUST be uploaded to the form.
2. A non-grant budget index must be provided to pay the Special Check fee of $75.

A paper version of this form is also available.

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